改良房间隔穿刺方法的有效性和安全性  

Efficacy and safety of modified atrial septal puncture method

作　　者：胡小龙 王晓晨[1] 何非[1] HU Xiaolong;WANG Xiaochen;HE Fei(Cardiovascular Medicine Department,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院心血管内科,安徽合肥230601

出　　处：《临床医学研究与实践》2025年第10期34-37,共4页Clinical Research and Practice

基　　金：安徽省教育厅高校2023年度科研项目(No.2023AH053177)。

摘　　要：目的评价改良房间隔穿刺方法的有效性及安全性。方法选取2023年1月至12月接受导管射频消融治疗的120例心房颤动、心房扑动、阵发性室上性心动过速(PSVT)患者为研究对象,根据手术医生操作习惯的不同将患者分为对照组(48例,采用传统房间隔穿刺方法)和试验组(72例,采用改良房间隔穿刺方法)。比较两组的穿刺成功率、穿刺时间、透视时间、透视剂量、并发症发生情况及死亡率。结果两组共进行125次房间隔穿刺,试验组的单针穿刺成功率与穿刺成功率均高于对照组(P<0.05)。试验组的穿刺时间短于对照组,透视时间短于对照组,透视剂量低于对照组(P<0.05)。试验组无心脏破裂和心包积液病例,对照组有3例心包积液明显,需穿刺置管;试验组的并发症总发生率低于对照组(P<0.05);两组的死亡率均为0。结论与传统房间隔穿刺方法相比,改良房间隔穿刺方法具有更好的有效性和安全性,并发症更少,且穿刺成功率更高。Objective To evaluate the efficacy and safety of modified atrial septal puncture method.Methods A total of 120 patients with atrial fibrillation,atrial flutter and paroxysmal supraventricular tachycardia(PSVT)who underwent radiofrequency catheter ablation from January to December 2023 were selected as the research objects.According to the different operating habits of the surgeons,the patients were divided into control group(48 cases,using traditional atrial septal puncture method)and experimental group(72 cases,using modified atrial septal puncture method).The success rate of puncture,puncture time,fluoroscopy time,fluoroscopy dose,complications and mortality were compared between the two groups.Results A total of 125 times of atrial septal puncture were performed in the two groups,the success rate of single needle puncture and puncture in the experimental group were higher than those in the control group(P<0.05).The puncture time of the experimental group was shorter than that of the control group,the fluoroscopy time was shorter than that of the control group,and the fluoroscopy dose was lower than that of the control group(P<0.05).There were no cases of cardiac rupture and pericardial effusion in the experimental group,and there were 3 cases of pericardial effusion in the control group,which needed puncture and catheterization;the total incidence of complications in the experimental group was lower than that in the control group(P<0.05);the mortality of both groups was 0.Conclusion Compared with the traditional atrial septal puncture method,the modified atrial septal puncture method has better efficacy and safety,fewer complications and higher puncture success rate.

关 键 词：房间隔穿刺 导管射频消融术 心脏介入治疗 

分 类 号：R471.6[医药卫生—护理学]